Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07081 | Date 21/06/2024 |
| Token No | SM/24-25/24380 03/07/2024 | Serial | 101 |
| Patient Name | Mrs. KALPANA MAJUMDER | Contact No | 9475100476 |
| Address | AMULYA KANAN SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||